MEDICARE: LUXX MEDICAL SPA INC, MULTIESPECIALITY GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1104760289
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUXX MEDICAL SPA INC, MULTIESPECIALITY GROUP

Provider Business Mailing Address
First Line	:	8004 N ARMENIA AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-2763
Country	:	US
Telephone Number	:	786-630-7918
Fax Number	:	813-919-9748

Provider Business Practice Location Address
First Line	:	8004 N ARMENIA AVE STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-2763
Country	:	US
Telephone Number	:	786-630-7917
Fax Number	:	813-919-9748

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CLAUDIA GARCIA FERNANDEZ
Credential	:
Telephone Number	:	786-630-7917

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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